Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Delaware for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Delaware only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Delaware (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Lakeside Physical Therapy, LLC (NPI 1184854929)

Field	Value
Entity Type	Organization
Organization	Lakeside Physical Therapy, LLC
Address	404 E Front St
City	Laurel
State	DE
ZIP	19956
Taxonomy	Rehabilitation Practitioner
NPI Enumerated	July 14, 2009

Payer Source	Total Paid
Medicaid	$371.8K
Medicare	$0

Medicaid: Complete Services Breakdown

Every CPT/HCPCS code this provider has billed to Medicaid, with claims volume, average payment, and total revenue.

10 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	7,970	$40	$303K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	2,470	$10	$27.2K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	930	$20	$16.8K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	220	$60	$13.3K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	600	$20	$11.4K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	30	$1	$50
G8420	Bmi is documented within normal parameters and no follow-up plan is required	10	$0	$0
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	130	$0	$0
G8510	Screening for depression is documented as negative, a follow-up plan is not required	20	$0	$0
G8539	Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment	20	$0	$0

Medicaid: Competitive Analysis & Benchmarks

How this provider's Medicaid billing volume and revenue compare to other Delaware providers billing the same CPT/HCPCS codes.

Claims Volume vs. Delaware Distribution

Lakeside Physical Therapy, LLC — 0 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Delaware

Full comparison — all codes billed, vs. Delaware median

10 rows

CPT/HCPCS Code	Description	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
97110	Therapeutic exercise is a form of physical therapy that utilizes specially designed exercises and activities to help patients gain better mobility and fitness levels. Normally used on patients with…	22	90	2,360	$20	$181.1K
97530	The provider uses various activities during direct contact with the patient to improve the patient’s functional performance. Use this code for each 15 minutes of activity.	57	80	2,590	$20	$181.1K
97112	Neuromuscular reeducation is a therapeutic treatment (exercise) performed by a physician in an attempt to reduce impairments and restore function through the application of clinical skills and/or…	27	50	930	$20	$104.7K
97140	Manual therapy is a form of physical therapy which uses the controlled movement and pressure of hands to treat various disorders of soft tissues and joints, eg, chronic back pain. Manual therapy…	13	50	940	$10	$89K
97161	The provider, typically a physical therapist, conducts a physical therapy evaluation that includes history to rule out any adverse factors that will affect care; observes whether the patient's…	12	20	220	$50	$56.6K
G0283	Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	6	10	270	$1	$4.9K
G8510	Screening for depression is documented as negative, a follow-up plan is not required	16	20	200	$1	$720
G8420	Bmi is documented within normal parameters and no follow-up plan is required	15	20	40	$1	$140
G8427	Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications	23	40	280	$1	$10
G8539	Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment	2	10	230	$0	$0

Related Providers

Other providers that share a Tax Identification Number (TIN) with Lakeside Physical Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Rowena Pamplona	DE	Physical Therapist	$179.4K	$0
Lorie Anne Acacio-rodriguera	DE	Physical Therapist	$150.7K	$0
Metodio Pamplona	DE	Physical Therapist	$126.8K	$0

Nearby Providers

Other providers in the same ZIP code as Lakeside Physical Therapy, LLC, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
Jeffery Bartoshesky Dmd LLC	DE	General Practice Dentistry	$0	$1.7M
Psychological Associates Of Southern Delaware	DE	Clinical Psychologist	$0	$752.5K
Laurel Fire Department Inc.	DE	Land Ambulance	$189.3K	$87.6K
Curtis Smith	DE	Family Medicine Physician	$188K	$0
State Of Delaware	DE	Local Education Agency (LEA)	$0	$181.8K
Antonio Pedro	DE	Nephrology Physician	$177.4K	$0
Odilon Claravall	DE	Internal Medicine Physician	$165.4K	$0
Laurel Medical Group, LLC	DE	Internal Medicine Physician	$0	$127.2K
Tabitha Medical Care LLC	DE	Family Nurse Practitioner	$0	$124.2K
Accurate Optical Co Of Laurel Inc	DE	Optometrist	$0	$114.8K

Lakeside Physical Therapy, LLC — Billing Profile & Reimbursement Data

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Lakeside Physical Therapy, LLC — Billing Profile & Reimbursement Data

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Medicaid: Total Revenue Breakdown by CPT/HCPCS Code

Medicaid: Complete Services Breakdown

Medicaid: Competitive Analysis & Benchmarks

Related Providers

Nearby Providers

Frequently Asked Questions

References